背景:这项研究的目的是回顾性和多中心地检查诊断为肠系膜囊肿的患者的临床病理特征,这是过去9年中引起腹内肿块的罕见原因,从文学的角度来看。
方法:患者于2010年至2019年在两家培训研究医院的普外科诊所接受肠系膜囊肿手术;年龄,性别,术前临床发现,计算机断层扫描(CT)的发现,质量的本地化,外科手术,发病率,组织病理学结果,并以电子方式分析和报告随访期状态.
结果:患者通常以腹痛为主诉,可触及的腹部肿块,腹胀.其中男性14例(63.7%),女性8例(36.3%)。肠系膜囊肿位于小肠18例,结肠4例。在手术材料的组织病理学检查中,17例检出单纯性囊肿,4例淋巴管瘤,结肠腺癌,单纯性囊肿1例。在术后期间,由于吻合口漏,3例患者发生浅表手术部位感染,1例患者发生发病率。
结论:虽然肠系膜囊肿很少见,尽管它们中的大多数在组织病理学上不是恶性的,它们可以达到大尺寸,需要大量的外科手术,可以看到相关的发病率。因此,肠系膜囊肿在术后以及诊断和手术治疗过程中应仔细随访。
BACKGROUND: The aim of this study is to retrospectively and multi-centerly examine the clinicopathological features of patients who were operated with the diagnosis of mesenteric cyst, which is a rare cause of intra-abdominal mass in the last 9 years, in the light of the literature.
METHODS: The patients were operated due to mesenteric cysts in the general surgery clinics of two Training and Research Hospital between 2010 and 2019; age, gender, preoperative clinical findings, computed tomography (CT) findings, localization of the mass, surgical procedure, morbidity, histopathological results, and follow-up period status were analyzed and reported electronically.
RESULTS: The patients generally applied with the complaints of abdominal pain, palpable abdominal mass, and abdominal distention. Fourteen (63.7%) of the cases were male and 8 (36.3%) were female. The mesenteric cysts were located in the small intestine in 18 cases and colon in 4 cases. In the histopathological examination of the surgical materials, simple cyst was detected in 17 cases, lymphangioma in 4 cases, colon adenocarcinoma, and simple cyst in 1 case. In the postoperative period, superficial surgical site infection developed in 3 patients and morbidity developed in 1 patient due to anastomotic leakage.
CONCLUSIONS: Although mesenteric cysts are rarely seen, although most of them are not histopathologically malignant, they can reach large sizes and require extensive surgical operation, and related morbidities can be seen. Therefore, mesenteric cysts should be followed carefully in the postoperative period as well as during the diagnosis and surgical treatment process.